LAKE HURON MEDICAL CENTER
NPI 1902407844
Radiology - Radiation Oncology in Port Huron, MI

Active since November 06, 2020CLIA 23D0680404 · Accreditation
2601 ELECTRIC AVE, PORT HURON, MI 48060(810) 216-1500 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 2, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Lake Huron Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HURON MEDICAL CENTER (NPI 1902407844) is a healthcare organization registered as a radiation oncology in Port Huron, Michigan and active in the NPI registry since November 2020. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Christopher Scott Fulks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902407844
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NamePRIME HEALTHCARE SERVICES-PORT HURON LLC
Location Address2601 ELECTRIC AVEPort Huron, MI 48060-6587
Mailing Address2601 Electric AvePort Huron, MI 48060-6587
Organization SubpartYes
Authorized OfficialChristopher Scott FulksCfo · (810) 216-1361
Enumeration DateNovember 6, 2020
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1902407844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
2601 ELECTRIC AVE, Port Huron, MI 48060

Other Names 1

Doing Business AsLake Huron Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0680404

Lake Huron Medical Center · Port Huron, MI
Active · expires Feb 27, 2027
CLIA Number23D0680404
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorRubina Karim
Laboratory Phone(810) 216-1525
Laboratory LocationLake Huron Medical Center2601 Electric Avenue, Port Huron, MI 48060
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Lake Huron Medical Center (CMS certification number 23T031), from CMS Care Compare.

Lake Huron Medical Center

Inpatient rehabilitation facility · Port Huron, MI
OwnershipNon-profit
CMS Certification Number23T031
Medicare-Certified SinceJuly 1, 1990
Location2601 Electric AvenuePort Huron, MI 48060
Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Stroke
34
patient stays
Nervous system disorder (excluding stroke)
19
patient stays
Brain disease or condition (non-traumatic)
Less than 11 patient stays
Brain injury (traumatic)
Less than 11 patient stays
Hip or femur fracture
Less than 11 patient stays
Hip or knee replacement, amputation or other bone or joint condition
Less than 11 patient stays
Spinal cord disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
33
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 128 patient stays
94.5%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 122 patient stays
96.7%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 111 patient stays
40.5%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 111 patient stays
25.2%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 111 patient stays
39.64%
Patients who experienced one or more falls with major injury during their stay
128 patient stays · Lower rates are better for this measure.
0%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 127 patient stays · observed rate 3.1% · Lower rates are better for this measure.
3.1%
Healthcare workers given the influenza vaccine
8 healthcare workers
100%
Healthcare workers up to date on COVID-19 vaccination
14 healthcare workers
0%
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community
70 of 115 patient stays · observed rate 60.87%
63.83%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions within 30 days after discharge
17 readmissions of 113 patient stays · observed rate 15.04% · Lower rates are better for this measure.
9.59%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions during the rehabilitation stay
10 readmissions of 125 patient stays · observed rate 8% · Lower rates are better for this measure.
5.57%
risk-standardized rate
No Different than the National Rate
Medicare spending per episode of care
1.00 = national average per episode of care · based on 97 episodes
0.99
spending ratio
Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2601 ELECTRIC AVE
PORT HURON, MI 48060
Physical Therapist
2601 ELECTRIC AVE
PORT HURON, MI 48060
Nurse Anesthetist, Certified Registered
2601 ELECTRIC AVE
PORT HURON, MI 48060
Pharmacist
2601 ELECTRIC AVE
PORT HURON, MI 48060
Occupational Therapist
2601 ELECTRIC AVE
PORT HURON, MI 48060
Pathology (Anatomic Pathology & Clinical Pathology)
2601 ELECTRIC AVE
PORT HURON, MI 48060
Radiology (Radiation Oncology)
2601 ELECTRIC AVE
PORT HURON, MI 48060
Pharmacy (Community/Retail Pharmacy)
2601 ELECTRIC AVE
PORT HURON, MI 48060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Healthcare Services-Port Huron LLC's NPI number?

The NPI number for Prime Healthcare Services-Port Huron LLC is 1902407844. It was assigned to this organization in the NPPES registry on November 6, 2020. The provider is doing business as Lake Huron Medical Center.

Where is Prime Healthcare Services-Port Huron LLC located?

Prime Healthcare Services-Port Huron LLC is located at 2601 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 216-1500.

What is Prime Healthcare Services-Port Huron LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Does Prime Healthcare Services-Port Huron LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0680404) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Prime Healthcare Services-Port Huron LLC a Medicare-certified inpatient rehabilitation facility?

Yes. Lake Huron Medical Center is a Medicare-certified inpatient rehabilitation facility (CMS certification number 23T031), certified since July 1, 1990.

What insurance does Prime Healthcare Services-Port Huron LLC accept?

Health plans from Blue Care Network of Michigan and Priority Health list Prime Healthcare Services-Port Huron LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Services-Port Huron LLC was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.